Consol Serra

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INTERNATIONAL PERSPECTIVES The UEMS Section of Occupational Medicine The European Association of Schools of Occupational Medicine

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Occupational Medicine in Europe, a new speciality Recognised as speciality in most countries since 1970-1993 European recognition in 1986 Advisory Committee on Medical Training of the Comission of the EC UEMS OM Section. Survey 2002, 14 members. Carstensen O, Sherson D. Barcelona, 2002; Franco G, 1999

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Number of physicians* working in OCCUPATIONAL MEDICINE in Europe, by number of inhabitants Finland one per 4.000 France, Belgium, Holland one per 5.000-10.000 Norway, United Kingdom one per 30.000-70.000 Sweden, Denmark one per 100.000 * Includes specialists and non specialists UEMS OM Section. Survey 2002, 14 members. Carstensen O, Sherson D. Barcelona, 2002

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Training of specialists in Occupational Medicine, Europe UEMS OM Section. Survey 2002, 14 members. Cashman C, Slovak A. Occupational Medicine, 2005

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Responsible for training - Occupational and safety health services - Hospitals - University Training focusing - Practical work in an OHS Service - Wide experience in internal/general Medicine - Theoretical training/research in University Training Occupational Medicine in Europe Outlines of different types of training UEMS OM Section. Survey 2002, 14 members. Carstensen O, Sherson D. Barcelona, 2002

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UEMS OM Section. Survey 2002, 14 members. Cashman C, Slovak A. Occupational Medicine, 2005 Content, focus, approach Cultural differences in expectations on the role of the occupational physicians Funding and number of residents to train Professional development and research (scarce) Training Occupational Medicine in Europe Differences across countries

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6 years Common trunk: 2 years Primary Health Care Occupational Medicine: 4 years 2 years in a OHS service 1 year in FIOH 1 year in hospital modular course (simultaneous) research project (voluntary) Tutor from universidad Financed by employer (salary + course) 120 residents/year FINLAND Training Occupational Medicine in Europe

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4 years (5 years from 2007) Responsibility: the university 1200h. course Practice in various workplaces Clinical practice Funding: grant by the university, funded by the the public health system. ITALY Training Occupational Medicine in Europe

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Schools of OM, 2-3 years, students 2005 Training Units, 4 years, salary, trainees (70/yr.) SPAIN Training Occupational Medicine in Europe 20 months of clinical practice 22 months in OHS service 6 months course OM Research project

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UEMS OM Section. Survey 2002, 14 members. Carstensen O, Sherson D. Barcelona, 2002 Dissertation on an OM subject Workplace knowledge Postgraduate theoretical training in University The occupational physician is undergoing training, like all medical doctors, in the basic medical sciences and clinical medicine, and increasingly complemented by training in basic public and community health, including epidemiology. Training Occupational Medicine in Europe Some similarities

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UEMS OM Section. Survey 2002, 14 members. Cashman C, Slovak A. Occupational Medicine, 2005 Training Occupational Medicine in Europe

Occupational Medicine in EuropeNon-Governmental organisations: 

Occupational Medicine in Europe Non-Governmental organisations EASOM European Association of Schools of Occupational Medicine training and education UEMS Section of Occupational Medicine European Union of Medical Specialists professional representation and specialists training

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Founded in 1958 Represents over one million medical specialists Harmonisation the highest level of medical training and practice Free movement of specialist doctors Representation and defence of professional interests European Union of Medical Specialists www.uems.net

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Sections (1962, n=46, 2 delegates per country) Boards Working groups Accreditation system for CME: EACCME Other ORGANISATION UEMS Statues. UEMS 2004 / 47 EN adopted new statues. Available at: http://admin.uems.net/uploadedfiles/687.pdf

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Founded 1996 Democratic structure Liaison with EASOM Merger with ENSOP Decisions by consensus

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Mission To promote the development of the speciality of occupational medicine in Europe with the aim to improve the health of the workers. Strategy To influence EU legislators To collaborate with appropriate institutions To ensure quality of professional practice To identify and take action on common issues

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FUNCTIONS The promotion of co-operation between practicing Occupational Physicians in the member countries Core competencies for Occupational Physicians Standards for training and continuing medical education

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Working areas Training Profession Communication Politics documents, surveys, collaboration (EASOM), assessment training and practice tools, core competencies workshops, symposia, sessions, documents distribution at national and international level, website UE, CPME, Bilbao and Dublin Agencies, periodc meetings with other sections country representatives www.uems.net/Occupational%Medicine

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Number of participants in the meetings

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Union of European Medical Specialists SECTION OF OCCUPATIONAL MEDICINE   ACTION PLAN 2006 - 2009 Consol Serra President of the UEMS Section of Occupational Medicine Barcelona, March 2006

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ACTION PLAN 2006-9 10 top priorities Section’s website Harmonisation of requirements and quality of training One voice and unity of purpose for OM Influence on EU legislators Harmonisation of CME criteria and recertification Promotion of good practice and continuous quality improvement Addressing major challenges of OH Systematic reviews Assessment of training programmes and trainees (ATOM) Participation in key forums and conferences

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Current active members and observers: Alain Cantineau (France), Alenka Skerjan (Slovenia), Andre Weel (The Netherlands), Andy Slovak (UK), Anne-Christine Markset (Norway), Annette Gäßler (Germany), Antonio de Silva Pinho (Portugal), Blaise Thorens (Switzerland), Brigitta Danuser (Switzerland), C Pletscher (Switzerland), Claus Piekarski (Germany), Clodagh Cashman (Ireland), Consol Serra (Spain), Dick Spreeuwers (The Netherlands), Elsbeth Huber (Austria), Ewan Macdonald (UK), Gert Thomsen (Denmark), Giorgio Assennato (Italy), György Köteles (Hungary), Kaj Husman (Finland), Knut Skyberg (Norway), Jacques de Laval (Sweden), Jacques van der Vliet (The Netherlands), Jadranka Mustajbegovic (Croatia), John Harrison (United Kingdom), Jonas Brisman (Sweden), Mats Berg (Sweden), Zora Vadnjal Gruden (Slovenia), Kristiina Mukala (Finland), Luc Quaeghebeur (Belgium), Milan Tucek (Czech Republic), Metka Terjan (Slovenia), Monica Ballester (Spain), Ole Carstensen (Denmark), Ørn Terje Foss (Norway), Paavo Jappinen (Finland), Paulo Coelho dos Santos (Portugal), Rafael Timermans (Spain), Reinhard Jager (Austria), Sergio Iavicoli (Italy), Stanislav Pusnik (Slovenia), Tom McMahon (Ireland), Vlasta Deckovic-Vukres (Croatia) Past members and observers: Anna Rask-Andersen (Sweden), Anne Birkeland (Sweden) Aristotel Cakar (Slovenia), Bo Nettersrom (Denmark), Bogulslaw Baranski (Poland-WHO), Carlos Sobral (Portugal), Dabid Sherson (Denmark), Eric Alquier-Bouffard (France), Elena Economu (Greece), Eleni Oikonomoy (Greece), Elisabeth McCloy (United Kingdom), Ema Sacadura (Portugal), G Van Houte (Belgium), George Stamatopoulos (Greece), Giuliano Franco (Italy), Gunnar Ahlborg (Sweden), Haldun Sirer (Turkey), Isabel Caixerio (Portugal), Jens Mortensen (Denmark), John Gallagher (United Kingdom), John Malone (Ireland), Jostein O Waage (Norway), Jovanka Karadzinska-Bislimovska (Macedonia), Leopold Koschatzky (Austria), Lucia Isolani (Italy), Marc Bregliano (France), Piet Kroon (The Netherlands), Solveig Fiedler (Austria), Sven Viskum (Denmark), Tarja Kauppinen (Finland), Wolfgang Panter (Germany)